I cannot advise you about laparoscopy without evaluating you and the studies already performed. Usually my decision about recomending laparoscopy is related to whether or not my patient produces an adhesion molecule in the endometrium felt to be important for embryo attachment.Good luck.

There is only 1 commercial lab in the country which assays for the alpha-5-beta-3 integrin. They have patent rights on the reagents. I perform an endometrial biopsy 7 days after ovulation and send them the tissue.